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Kevin Reyes

Behavior Technician in San Diego, CA. Individual provider (NPI-1).

NPI number1194587733
StatusActive
Last updated in NPPESMay 15, 2024

Details

NPI
1194587733
Entity type
Individual (NPI-1)
Name
Kevin Reyes
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 29, 2024
Certification date
May 13, 2024
Last updated
May 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

501 W Broadway Ste 800
San Diego, CA 92101-3546

Phone 855-832-6727

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other practice locations

16210 Tao Rd
Apple Valley, CA 92307-1537

Phone 760-848-3709

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